State Intelligence — Texas
Signals referencing this state across all sources.
25 signals
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Maryland payer laying off 161 across 3 states
Provider Partners Health Plans is laying off 161 employees spanning three states, according to Oct. 7 Worker Adjustment and Retraining Notification, or WARN, notices. Provider Partners reported 79, 39 and 43 layoffs in Texas, Maryland and Illinois, respectively. The Texas and Maryland layoffs go into effect in early December. In late May, CMS said it […] The post Maryland payer laying off 161 across 3 states appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
CMS News: Trump Administration Announces $78 Million for Rural Healthcare Workforce, Chronic Disease Prevention, and Facility Upgrades Across Texas
Trump Administration Announces $78 Million for Rural Healthcare Workforce, Chronic Disease Prevention, and Facility Upgrades Across Texas These investments will support the rural health workforce, modernize aging equipment, and advance chronic disease prevention to keep quality care within reach for rural Texans.
Policy / Regulatory Changes · 140 signals · last 30 days -
Texas attorney general investigates UnitedHealth over care denials
Ken Paxton is on the hunt for evidence that UnitedHealth is breaking the Deceptive Trade Practices Act and other Texas laws, citing “alarming reports” of denied care.
UnitedHealth TexasUnitedHealthcare · 46 signals · last 30 days -
UnitedHealth Group in the headlines: 12 updates
From a Texas attorney general investigation to a leadership shakeup that includes a new UnitedHealthcare president, here are 12 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Sept. 14: 1. Texas Attorney General and U.S. Senate candidate Ken Paxton launched an investigation into UnitedHealth Group, stemming from allegations of “deceptive and […] The post UnitedHealth Group in the headlines: 12 updates appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare · 46 signals · last 30 days -
Texas AG Ken Paxton launches investigations into UnitedHealth Group, BCBSTX
Texas Attorney General Ken Paxton announced on Monday that he would launch an investigation into industry giant UnitedHealth Group for "engaging in deceptive and unlawful practices" that may have denied care to Texans.
UnitedHealth TexasUnitedHealthcare · 46 signals · last 30 days -
Texas investigates UnitedHealth over care denial concerns
Texas Attorney General and U.S. Senate candidate Ken Paxton has launched an investigation into UnitedHealth Group. An Oct. 5 news release said the investigation resulted from allegations of “deceptive and unlawful practices” that could have denied Texans medically necessary care. Mr. Paxton’s office said there had been reports alleging the company “bribed nursing homes to […] The post Texas investigates UnitedHealth over care denial concerns appeared first on Becker's Payer Issues | Payer News .
UnitedHealth TexasUnitedHealthcare · 46 signals · last 30 days -
CHOICE in Action: Texas Employers Take Advantage of New Approach to Health Benefits
CHOICE in Action: Texas Employers Take Advantage of New Approach to Health Benefits Federal leaders spotlight legacy of healthcare innovation in Texas amid wave of momentum for CHOICE Arrangement
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‘You need to look into it’: Dr. Oz pitches CHOICE health plans to small businesses
CMS Administrator Mehmet Oz, MD, is urging employers to consider an alternative to traditional group health plans that allows workers to select their own individual insurance coverage. Speaking Sept. 30 at an event in Austin, Texas, Dr. Oz promoted CHOICE Arrangements, the new federal branding for individual coverage health reimbursement arrangements, as an option for […] The post ‘You need to look into it’: Dr. Oz pitches CHOICE health plans to small businesses appeared first on Becker's Pay...
Policy / Regulatory Changes · 140 signals · last 30 days -
CMS to expand IRF claim review demonstration to all facilities billing the jurisdiction that includes Alabama, Georgia, Tennessee
The Centers for Medicare & Medicaid Services announced Sept. 25 that it will expand the Inpatient Rehabilitation Facility Review Choice Demonstration to include all IRFs that bill Medicare Administrative Contractor Jurisdiction J, which generally includes Alabama, Georgia and Tennessee. The demonstration, which is currently active for IRFs in Alabama, California, Texas and Pennsylvania, subjects 100% of all Original Medicare IRF claims to either pre-claim or post-payment review. For IRFs newl...
Policy / Regulatory Changes · 140 signals · last 30 days -
HCA-affiliated St. David’s hospitals to go out of network with Cigna
Austin, Texas-based St. David’s HealthCare, a partnership between Nashville, Tenn.-based HCA Healthcare and two nonprofits, is set to go out of network with Cigna Oct. 1. St. David’s hospitals, ASCs and affiliated hospital-based physicians in Texas will no longer be available in network, the health system’s website said. “St. [David’s] HealthCare’s owner HCA is demanding […] The post HCA-affiliated St. David’s hospitals to go out of network with Cigna appeared first on Becker's Payer Issues |...
Cigna TexasCigna · 15 signals · last 30 days -
UnitedHealthcare received $24M in Medicare Advantage overpayments in Texas: OIG
UnitedHealthcare’s Medicare Advantage business in Texas received an estimated $24.4 million in overpayments during 2020 and 2021 tied to diagnoses not supported by medical records, the HHS Office of Inspector General said in an audit report published Sept. 28. The report follows an OIG audit released a week prior that estimated UnitedHealthcare’s Wisconsin MA business […] The post UnitedHealthcare received $24M in Medicare Advantage overpayments in Texas: OIG appeared first on Becker's Payer...
UnitedHealthcare · 46 signals · last 30 days -
Texas investigating BCBS over possible denials, delays
Texas Attorney General Ken Paxton launched an investigation into Blue Cross and Blue Shield of Texas and its parent company, Health Care Service Corp., over potential denials and delays of medically necessary care, as well as prior authorization concerns. Mr. Paxton’s office announced the investigation Sept. 28. The office received reports that pointed to BCBS […] The post Texas investigating BCBS over possible denials, delays appeared first on Becker's Payer Issues | Payer News .
Blue Cross Blue Shield plans · 36 signals · last 30 days -
Optum Health taps CEO for AI, product innovation
Wes Donohoe is serving as Optum Health’s CEO for AI and product innovation, the company confirmed to Becker’s Sept. 28. According to Mr. Donohoe’s LinkedIn post, he started the role, which focuses on AI and product innovation, Sept. 21. Mr. Donohoe said he spent his first week traveling to Minnesota and Texas to meet with […] The post Optum Health taps CEO for AI, product innovation appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare · 46 signals · last 30 days -
Trump Administration Announces $51 Million for Rural Texas Nutrition and Chronic Disease Prevention Programs
Trump Administration Announces $51 Million for Rural Texas Nutrition and Chronic Disease Prevention Programs This federal investment will support 68 rural hospital districts and authorities working to prevent and manage diabetes, cardiovascular disease, respiratory disease, and obesity
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Texas hospitals sue Independence Blue Cross over denied claims
Despite a $2.8B settlement over BlueCard program disputes, five HCA-affiliated hospitals say the program still traps them in red tape.
Blue Cross TexasBlue Cross Blue Shield plans · 36 signals · last 30 days -
Court greenlights Chapter 11 plan for CVS’ Omnicare
A federal judge in Texas signed off on the Chapter 11 bankruptcy plan for Omnicare, CVS Health’s long-term care pharmacy, Sept. 17. Omnicare filed for Chapter 11 protection in 2025 in the wake of a false claims case that neared a $950 million judgment. Under the plan, the settlement between CVS and the Justice Department […] The post Court greenlights Chapter 11 plan for CVS’ Omnicare appeared first on Becker's Payer Issues | Payer News .
CVS Health TexasCVS Health / Aetna · 12 signals · last 30 days -
Texas judge signs off on bankruptcy plans for CVS' Omnicare unit
CVS Health's Omnicare unit has started voluntary Chapter 11 bankruptcy proceedings as it navigates a series of legal challenges.
CVS Health TexasCVS Health / Aetna · 12 signals · last 30 days -
CMS restores $12B in frozen supplemental Medicaid funds
The pause that began Sept. 1 had triggered alarm bells from provider groups and prompted an appeal from Texas Governor Greg Abbott.
Policy / Regulatory Changes · 140 signals · last 30 days -
HCA-affiliated hospitals in Texas sue Independence Blue Cross over claim denials
Several HCA Healthcare-affiliated hospitals in Texas filed a lawsuit Sept. 11 against Pennsylvania insurer Independence Blue Cross over alleged claim denials. The plaintiffs include Methodist Healthcare System of San Antonio, St. David’s HealthCare, HCA Houston Healthcare North Cypress, The Woman’s Hospital of Texas and HCA Houston Healthcare Medical Center — all tied to Nashville, Tenn.-based […] The post HCA-affiliated hospitals in Texas sue Independence Blue Cross over claim denials appear...
Blue Cross Blue Shield plans · 36 signals · last 30 days -
STAT+: In a fight over denied claims, HCA sues out-of-state Blue Cross Blue Shield plan
Several Texas hospitals are suing an out-of-state Blue Cross for unpaid medical claims, highlighting the varying standards for whether care is medically necessary.
Blue Cross Blue Shield plans · 36 signals · last 30 days -
Oscar taps CVS exec as chief health officer
Lia Gass Rodriguez, MD, is joining Oscar Health as chief health officer. The company shared the update on LinkedIn Aug. 13. Dr. Rodriguez had worked at CVS Health as a leader for CVS Healthspire Payor Solutions and Aetna. Previously, she was a medical director for Houston-based Texas Children’s Hospital’s health plan, according to her LinkedIn […] The post Oscar taps CVS exec as chief health officer appeared first on Becker's Payer Issues | Payer News .
CVS Health / Aetna · 12 signals · last 30 days -
Texas’ ACA enrollment ‘boom’ didn’t happen after all
Not all CMS data is telling the same story when it comes to ACA enrollment in Texas. As of January, nearly 4.2 million Texans had selected ACA plans for 2026, up from nearly 4 million in 2025. That marked the largest enrollment increase of any state. A previous KFF analysis found Texas had the highest […] The post Texas’ ACA enrollment ‘boom’ didn’t happen after all appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
Texas governor pitches employer health plan option that omits state-required benefits
Texas Gov. Greg Abbott is proposing a new health insurance option for employers that aims to lower premiums by removing certain state-mandated benefits while maintaining federal coverage requirements. The proposal, called the Essential Benefits Health Insurance Plan, would allow insurers to offer employer group plans that satisfy all federal requirements but drop some benefits required […] The post Texas governor pitches employer health plan option that omits state-required benefits appeared...
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UnitedHealthcare Benefits of Texas, Inc. et al. v. Centers for Medicare & Medicaid Services et al.
Medicare Advantage Star Ratings litigation. The post UnitedHealthcare Benefits of Texas, Inc. et al. v. Centers for Medicare & Medicaid Services et al. appeared first on Health Care Litigation Tracker .
UnitedHealthcare TexasUnitedHealthcare · 46 signals · last 30 days -
In Re Novartis Pharmaceuticals Corporation v. the State of Texas
programs in several states and Medicare Advantage plans throughout the country, also Original document